NMC Case Report Journal最新文献_第2页

Efficacy of Spinal Cord Stimulation Using Differential Target Multiplexed Stimulation for Intractable Pain of Hereditary Neuropathy with Liability to Pressure Palsies: A Case Report. 差异靶点多重刺激脊髓对遗传性神经病伴压迫性麻痹顽固性疼痛的疗效:1例报告。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2023-0023

Takafumi Tanei, Yusuke Nishimura, Yoshitaka Nagashima, Motonori Ishii, Tomoya Nishii, Nobuhisa Fukaya, Takashi Abe, Hiroyuki Kato, Satoshi Maesawa, Ryuta Saito

{"title":"Efficacy of Spinal Cord Stimulation Using Differential Target Multiplexed Stimulation for Intractable Pain of Hereditary Neuropathy with Liability to Pressure Palsies: A Case Report.","authors":"Takafumi Tanei, Yusuke Nishimura, Yoshitaka Nagashima, Motonori Ishii, Tomoya Nishii, Nobuhisa Fukaya, Takashi Abe, Hiroyuki Kato, Satoshi Maesawa, Ryuta Saito","doi":"10.2176/jns-nmc.2023-0023","DOIUrl":"https://doi.org/10.2176/jns-nmc.2023-0023","url":null,"abstract":"Hereditary neuropathy with liability to pressure palsies is an extremely rare genetic disorder; it is an autosomal dominant disorder with a high incidence of neuropathic and/or musculoskeletal pain. A case of achieving pain relief by spinal cord stimulation using differential target multiplexed stimulation for a 44-year-old female patient with hereditary neuropathy with liability to pressure palsies who was experiencing severe pain in her back, face, and all four limbs is presented. In her early teens, the initial symptoms were numbness and weakness of a limb after movement, which improved spontaneously. Transient pain in her back followed by systemic and persistent muscle weakness and pain developed. Deletion of the gene for peripheral myelin protein 22 was detected by peripheral nerve biopsy. The diagnosis of hereditary neuropathy with liability to pressure palsies was made in her early thirties. A spinal cord stimulation trial was performed because her severe pain continued despite administering many medications. Therefore, two spinal cord stimulation systems were implanted at the C3-5 and Th8-9 levels by two procedures. Pain in her back, arms, and legs decreased from 8 to 1, 5 to 1, and 6 to 2 on the numerical rating scale, respectively. Furthermore, opioid usage was tapered. The pain of hereditary neuropathy with liability to pressure palsies has a complicated pathogenesis and is resistant to pharmacological treatment. Spinal cord stimulation using differential target multiplexed stimulation may be a viable treatment option.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"203-208"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/46/2188-4226-10-0203.PMC10396390.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Case of Tracheo-innominate Artery Fistula after Tracheostomy Successfully Treated with a Covered Stent. 覆盖支架成功治疗气管造口术后气管无名动脉瘘1例。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0250

Takayuki Kakimoto, Satoshi Murai, Noboru Kusaka, Fukiko Baba, Yohei Inoue, Hayato Miyake, Masato Kawakami, Yukei Shinji, Hisakazu Itami, Shinji Otsuka, Tsukasa Nishiura, Kenji Kawamoto, Tsuyoshi Yamamoto, Nobuhiko Kimura, Kotaro Ogihara

引用次数: 0

Occult Germinoma of the Intramedullary Spinal Cord: A Case Report. 髓内脊髓隐匿性生殖细胞瘤1例报告。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0346

Takumi Hoshimaru, Fugen Takagi, Yuichiro Tsuji, Ryokichi Yagi, Ryo Hiramatsu, Masahiro Kameda, Naosuke Nonoguchi, Motomasa Furuse, Shinji Kawabata, Toshihiro Takami, Masahiko Wanibuchi

{"title":"Occult Germinoma of the Intramedullary Spinal Cord: A Case Report.","authors":"Takumi Hoshimaru, Fugen Takagi, Yuichiro Tsuji, Ryokichi Yagi, Ryo Hiramatsu, Masahiro Kameda, Naosuke Nonoguchi, Motomasa Furuse, Shinji Kawabata, Toshihiro Takami, Masahiko Wanibuchi","doi":"10.2176/jns-nmc.2022-0346","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0346","url":null,"abstract":"Primary germ cell tumors of the central nervous system (CNS) typically occur in the neurohypophysis, hypothalamus, or pineal gland and rarely in the spinal cord. We report a case of a spinal intramedullary tumor, which was first detected on magnetic resonance imaging (MRI) 41 months after the initial symptoms, with a verified pathological diagnosis of germinoma. The initial symptom was an abnormal sensation in the left plantar region that gradually worsened, resulting in severe sensory disturbance, difficulty in standing, and even bladder rectal disturbance. Repeated MRI after the onset failed to provide an imaging diagnosis. The MRI was performed 41 months after the onset and revealed a previously undiagnosed, contrast-enhancing spinal intramedullary neoplastic lesion at the Th11-12 level. Gross total resection of the tumor was successfully performed, and the pathology confirmed the diagnosis of pure germinoma. Postoperative chemotherapy, followed by local radiation, was successfully administered. Among primary germinomas of the CNS, occult germinoma that lacks imaging findings suggestive of tumors in the early stages of onset and becomes apparent over time is often reported as a primary neurohypophyseal germinoma, particularly in adolescents presenting with diabetes insipidus. In the present case, the lesion appeared to correspond to a primary occult germinoma of the intramedullary spinal cord.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/9d/2188-4226-10-0027.PMC10017122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9145752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enterprise Treatment for Recurrent Basilar Tip Aneurysm after PulseRider-assisted Coil Embolization: A Case Report. 脉冲星辅助线圈栓塞后复发基底动脉瘤的企业治疗1例。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0316

Takahiro Yokoyama, Tatsuya Ishikawa, Yosuke Moteki, Takayuki Funatsu, Koji Yamaguchi, Seiichiro Eguchi, Hayato Yamahata, Buntou Ro, Takakazu Kawamata

{"title":"Enterprise Treatment for Recurrent Basilar Tip Aneurysm after PulseRider-assisted Coil Embolization: A Case Report.","authors":"Takahiro Yokoyama, Tatsuya Ishikawa, Yosuke Moteki, Takayuki Funatsu, Koji Yamaguchi, Seiichiro Eguchi, Hayato Yamahata, Buntou Ro, Takakazu Kawamata","doi":"10.2176/jns-nmc.2022-0316","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0316","url":null,"abstract":"PulseRider (Cerenovus, Irvine, CA, USA) is a relatively novel device used for the treatment of wide-neck aneurysms with a coil-assisted effect. However, treatment options for recurrent aneurysms after PulseRider-assisted coil embolization remain controversial. Here we report a case of recurrent basilar tip aneurysm (BTA) treated with Enterprise 2 after PulseRider-assisted coil embolization. A woman in her 70s underwent coil embolization for a subarachnoid hemorrhage with ruptured BTA 16 years ago. Recurrence was detected at 6-year follow-up, and an additional coil embolization was performed. Nevertheless, gradual recurrence still occurred, and PulseRider-assisted coil embolization was performed without any complications 9 years after the second treatment. However, recurrence was detected once more at 6-month follow-up. Thus, stent-assisted coil embolization using Enterprise 2 (Cerenovus) through PulseRider was selected for angular remodeling. Enterprise 2 was deployed between the right P2 segment of the posterior cerebral artery (PCA) and basilar artery (BA) after an effective coil embolization, which achieved effective angular remodeling between the right PCA and BA. The patient's postoperative course was uneventful, and no recanalization was detected after half a year. Although PulseRider is effective for wide-neck aneurysm treatment, recurrence remains a possibility. Additional treatment using Enterprise 2 is safe and effective with the expectation of angular remodeling.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"115-119"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/27/2188-4226-10-0115.PMC10185358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9480095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biopsy-proven Primary CNS Lymphoma in the Medulla Oblongata Presenting as Anorexia. 延髓活检证实原发性中枢神经系统淋巴瘤表现为厌食症。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0399

Takaharu Kawajiri, Hayato Takeuchi, Yoshinobu Takahashi, Yuji Shimura, Junya Kuroda, Naoya Hashimoto

{"title":"Biopsy-proven Primary CNS Lymphoma in the Medulla Oblongata Presenting as Anorexia.","authors":"Takaharu Kawajiri, Hayato Takeuchi, Yoshinobu Takahashi, Yuji Shimura, Junya Kuroda, Naoya Hashimoto","doi":"10.2176/jns-nmc.2022-0399","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0399","url":null,"abstract":"Eating disorders caused by brain tumors are infrequently seen. Recent studies revealed that a neurocircuit from the nucleus tractus solitarius of the medulla oblongata to the hypothalamus participates in the control of appetite. Among brain tumors, those located in the brain stem, especially a solitary one in the medulla oblongata, are rare. Tumors in the brainstem are generally considered gliomas, and with the difficulty in reaching the lesion, treatment without histological confirmation is often performed. However, there are a few reported cases of medulla oblongata tumors other than gliomas. We describe a case of a 56-year-old man who presented with persistent anorexia. Magnetic resonance images revealed a solitary tumor in the medulla oblongata. After several examinations, craniotomy for the biopsy of the tumor using the cerebellomedullary fissure approach was carried out and primary central nervous system lymphoma (PCNSL) was histologically proven. The patient was treated with effective adjuvant therapy and was discharged home after he recovered from the symptoms. No tumor recurrence was recognized 24 months after surgery. A PCNSL arising only from the medulla oblongata is very rare, and anorexia can be an initial symptom of a tumor in the medulla oblongata. Surgical intervention is safely achieved and is a key to a better clinical outcome.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"131-137"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/80/2188-4226-10-0131.PMC10247218.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult Infratentorial Pial Arteriovenous Fistula Treated with Detachable Coils: A Case Report and a Review of Literature. 可拆卸线圈治疗成人幕下动静脉瘘1例报告及文献复习。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0391

Naoya Kidani, Yusuke Inoue, Shohei Nishigaki, Juntaro Fujita, Yuta Sotome, Yusuke Tomita, Kenichiro Muraoka, Nobuyuki Hirotsune, Shigeki Nishino

引用次数: 0

A Case of Acquired Factor XIII Deficiency with Systemic Lupus Erythematosus Diagnosed after Repeated Intracerebral Hemorrhages. 反复脑出血后诊断为系统性红斑狼疮的获得性因子13缺乏1例。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0373

Eitaro Okumura, Hiroyuki Onuki, Kunitoshi Otsuka, Shigeki Sunaga, Asashi Tanaka, Hiroyuki Jimbo

引用次数: 0

Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review. 未经治疗的催乳素瘤并发动脉瘤性蛛网膜下腔出血和鼻出血1例报告并文献复习。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0355

Masahiro Nishihori, Takashi Izumi, Kazuhito Takeuchi, Shunsaku Goto, Fumiaki Kanamori, Kenji Uda, Kinya Yokoyama, Yoshio Araki, Ryuta Saito

引用次数: 0

A Collision Tumor of Pit-1/SF-1-positive Double Pituitary Adenoma and a Craniopharyngioma Coexisting with Graves' Disease. Pit-1/ sf -1阳性双垂体腺瘤与颅咽管瘤合并Graves病的碰撞瘤

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0396

Haruhiko Kikuta, Shinya Jinguji, Taku Sato, Mudathir Bakhit, Ryo Hiruta, Yusuke Sato, Rei Sekine, Hayato Tanabe, Masayasu Okada, Kiyoshi Saito, Masazumi Fujii

{"title":"A Collision Tumor of Pit-1/SF-1-positive Double Pituitary Adenoma and a Craniopharyngioma Coexisting with Graves' Disease.","authors":"Haruhiko Kikuta, Shinya Jinguji, Taku Sato, Mudathir Bakhit, Ryo Hiruta, Yusuke Sato, Rei Sekine, Hayato Tanabe, Masayasu Okada, Kiyoshi Saito, Masazumi Fujii","doi":"10.2176/jns-nmc.2022-0396","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0396","url":null,"abstract":"Double or multiple pituitary adenomas expressing different types of transcription factors and collision tumors of pituitary adenomas and craniopharyngiomas are rare. In this report, we present a case of pituitary adenoma of two different cell populations, Pit-1 and SF-1, and an adenoma and craniopharyngioma collision tumor with coexisting Graves' disease. The patient had a 16-mm pituitary tumor with pituitary stalk calcification and optic chiasm compression but no visual dysfunction. Based on hormonal profile results, the tumor in the sella was considered a nonfunctioning pituitary adenoma; nevertheless, the pituitary stalk was invaded by a different lesion, which was later confirmed to be a craniopharyngioma. Using an endoscopic endonasal approach, the pituitary adenoma was removed; however, a small remnant remained medial to the right cavernous sinus. Because the pituitary stalk lesion was isolated from the pituitary adenoma, it was preserved to maintain pituitary function. Three years after the initial surgery, the patient suffered from Graves' disease and was treated with antithyroid medications. However, the intrasellar residual and pituitary stalk lesions gradually increased in size. A second surgery was performed, and the residual intrasellar and stalk lesions were completely removed. As per the initial and second histopathologies, the pituitary adenoma comprised different cell groups positive for thyroid-(TSH) and follicle-stimulating hormones, and each cell group was positive for Pit-1 and SF-1. The pituitary stalk lesion was an adamantinomatous craniopharyngioma. We believe that TSH-producing adenoma was involved in the development of Graves' disease or that treatment for Graves' disease increased TSH-producing adenoma.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"169-175"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/7a/2188-4226-10-0169.PMC10310352.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relief of Central Poststroke Pain Affecting Both the Arm and Leg on One Side by Double-independent Dual-lead Spinal Cord Stimulation Using Fast-acting Subperception Therapy Stimulation: A Case Report. 双独立双导联脊髓快速亚知觉治疗缓解单侧手臂和腿部中枢性脑卒中后疼痛1例

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0336

Takafumi Tanei, Satoshi Maesawa, Yusuke Nishimura, Yoshitaka Nagashima, Tomotaka Ishizaki, Manabu Mutoh, Yoshiki Ito, Ryuta Saito

{"title":"Relief of Central Poststroke Pain Affecting Both the Arm and Leg on One Side by Double-independent Dual-lead Spinal Cord Stimulation Using Fast-acting Subperception Therapy Stimulation: A Case Report.","authors":"Takafumi Tanei, Satoshi Maesawa, Yusuke Nishimura, Yoshitaka Nagashima, Tomotaka Ishizaki, Manabu Mutoh, Yoshiki Ito, Ryuta Saito","doi":"10.2176/jns-nmc.2022-0336","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0336","url":null,"abstract":"Central poststroke pain is a chronic, intractable, central neuropathic pain. Spinal cord stimulation is a neuromodulation therapy for chronic neuropathic pain. The conventional stimulation method induces a sense of paresthesia. Fast-acting subperception therapy is one of the latest new stimulation methods without paresthesia. A case of achieving pain relief of central poststroke pain affecting both the arm and leg on one side by double-independent dual-lead spinal cord stimulation using fast-acting subperception therapy stimulation is presented. A 67-year-old woman had central poststroke pain due to a right thalamic hemorrhage. The numerical rating scale scores of the left arm and leg were 6 and 7, respectively. Using dual-lead stimulation at the Th 9-11 levels, a spinal cord stimulation trial was performed. Fast-acting subperception therapy stimulation achieved pain reduction in the left leg from 7 to 3. Therefore, a pulse generator was implanted, and the pain relief continued for 6 months. Then, two additional leads were implanted at the C 3-5 levels, and pain in the arm decreased from 6 to 4. Independent setting and adjustments of the dual-lead stimulation were required because the thresholds of paresthesia perception were significantly different. To achieve pain relief in both the arm and leg, double-independent dual-lead stimulation placed at cervical and thoracic levels is an effective treatment. Fast-acting subperception therapy stimulation may be effective for central poststroke pain, especially in cases where the paresthesia is perceived as uncomfortable or the conventional stimulation itself is ineffective.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/9b/2188-4226-10-0015.PMC9981231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10848404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1